Chapter 53 Quiz

A  Urethral infection.

B  cystitis.

C  ureteral stones.

D  pyelonephritis.

A  A dull sound when percussing over the bladder

B  Bruits noted over the abdominal area

C  The ingestion of 8 oz of water

D  Tenderness over the kidneys

A  ureter

B  bladder

C  kidney

D  urethra

A  Adventitia

B  Detrusor

C  Connective tissue

D  Mucosal

A  I can resume my usual activities without restriction.”

B  If I have difficulty urinating, I should contact my physician.”

C  I should increase my fluid intake for the rest of the day.”

D  It is normal for my urine to be blood-tinged.”

A  Renin

B  Albumin

C  Cortisol

D  Vasopressin

A  Place a bed board under the mattress to add support

B  Check the patient’s urine for hematuria.

C  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

D  Keep the patient on bed rest for 72 hours.

A  Acid-base balance

B  Susceptibility to develop hypernatremia

C  Increased glomerular filtration rate

D  Increased blood flow to the kidney

A  Infection

B  Metronidazole

C  Phenytoin

D  phenazopyridine hydrochloride

A  Dullness

B  Flatness

C  Resonance

D  Tympany

A  Renal pelvis

B  Parenchyma

C  Glomerulus

D  Nephron

A  Have you any artificial joints?”

B  Who has come with you today?”

C  Do you have a pacemaker?”

D  “Do you have any allergies?”

A  Growth hormone

B  Aldosterone

C  Antidiuretic hormone

D  Prostaglandins

A  10:01

B  3:01

C  4:01

D  6:01

A  assess the client’s usual intake of sodium.

B  palpate the client’s bladder before and after voiding.

C  confirm which beverages the client normally consumes.

D  confirm all of the medications and supplements normally taken.

A  Blood urea nitrogen (BUN)

B  Creatinine clearance level

C  BUN to creatinine ratio

D  Uric acid level

A  Does it burn when you urinate?”

B  Do you have a strong desire to void?”

C  Is it painful when you urinate?”

D  Do you urinate while sleeping?”

A  Chronic kidney disease

B  Neurogenic bladder

C  Kidney stone formation

D  Proteinuria

A  “Do you take multiple vitamin preparations?”

B  Have you had a recent urinary tract infection?”

C  Have you noticed any vaginal bleeding?”

D  Do you take phenytoin daily?”

A  I brought a copy of my living will with me.”

B  “I took my usual dose of Coumadin last night.”

C  “I have not eaten since 8 pm last night.”

D  “I signed the consent form in the physician’s office.”

A  Increased blood flow to the kidneys

B  Increased glomerular filtration rate

C  Acid-base balance

D  More prone to develop hypernatremia

A  Liver function studies

B  GI absorption rate

C  Therapeutic index

D  Creatinine clearance

A  With the first specimen voided after 8:00 am

B  After discarding the 8:00 am specimen

C  6 hours after the urine is discarded

D  At 8:00 am, with or without a specimen

A  Creatinine clearance level

B  Blood urea nitrogen level

C  Uric acid level

D  Serum potassium level

A  Decreased fluid intake

B  Diabetes insipidus

C  Increased fluid intake

D  Glomerulonephritis

A  Creatinine

B  Hemoglobin

C  Blood urea nitrogen

D  Osmolality

A  The upper abdominal quadrants on the left and right side

B  The costovertebral angle

C  Above the symphysis pubis

D  Around the umbilicus

A  Kidney stones

B  Chronic renal failure

C  Fistula

D  Neurogenic bladder

A  glucose

B  creatinine

C  potassium

D  chloride

A  Glomerulonephritis

B  Fluid deficits

C  Severe renal damage

D  Diabetes insipidus

E  Diabetes

A  “I had my last cigarette 3 hours ago with my morning coffee.”

B  “I do not have a pacemaker, artificial heart valve, or artificial joints.”

C  “I did not take my multivitamin this morning.”

D  I took my blood pressure medication with my morning coffee an hour ago.”

A  Suprapubic pain

B  Perineal pain

C  Pain after voiding

D  Costovertebal angle tenderness

A  When the urine output is about 100 mL/h

B  When the urine output is between 500 and 1,000 mL/h

C  When the urine output is between 300 and 500 mL/h

D  When the urine output is less than 30 mL/h

A  Circulating ADH concentration

B  Creatinine clearance

C  Volume of urine output

D  Urine-specific gravity

A  carefully handle urine because it is radioactive.

B  drink liberal amounts of fluids.

C  notify the health care team if bloody urine is noted.

D  maintain bed rest for 2 hours.

A  Nocturia

B  Polyuria

C  Dysuria

A  Increased serum creatinine

B  Increased serum albumin

C  Decreased potassium

D  Decreased blood urea nitrogen (BUN)

A  oliguria.

B  anuria.

C  dysuria.

D  nocturia.

A  Exercise the leg and foot.

B  Assess peripheral pulses in the left leg.

C  Place cool compresses on the calf.

D  Assess for anaphylaxis.

A  Increased alertness

B  Unusually smooth skin

C  Hypoventilation

D  Pruritus

A  Check the patient’s urine for hematuria.

B  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

C  Keep the patient on bed rest for 72 hours.

D  Place a bed board under the mattress to add support.

A  increased in renal disease and urinary obstruction.

B  decreased in renal disease and urinary obstruction.

C  decreased in nephrotic syndrome.

D  unchanged in renal disease.

A  Stroke

B  Urinary incontinence

C  Congestive heart failure

D  Myocardial infarction

A  Renin

B  Aldosterone

C  Calcitonin

D  Antidiuretic hormone (ADH)

A  Secretion of insulin

B  Secretion of prostaglandins

C  Vitamin D synthesis

D  Vitamin B production

E  Regulation of blood pressure

A  “You don’t need to do any fasting before this noninvasive test.”

B  “A contrast medium will be used to help see the structures better.”

C  An x-ray will be done to view your kidneys, ureters, and bladder.”

D  You’ll have a pressure dressing on your groin after the test.”

A  Control of water balance

B  Synthesis of vitamin K

C  Regulation of white blood cell production

D  Secretion of enzymes

A  Assess the client’s mental changes.

B  Monitor the client for an allergy to iodine contrast material.

C  Monitor the client for signs of electrolyte and water imbalance.

D  Evaluate the client for periorbital edema.

A  The client has blood-tinged urine following brush biopsy.

B  The client voids 75 cc four hours post cystoscopy.

C  The client reports a pain rating of 3 two hours post-kidney biopsy.

D  The client consumes 75% of lunch following an intravenous pyelogram

A  Phosphorous

B  Sodium

C  Potassium

D  Calcium

A  Have you had a recent urinary tract infection?”

B  Have you noticed any vaginal bleeding?”

C  “Do you take multiple vitamin preparations?”

D  “Do you take phenytoin daily?”

A  Hematuria

B  Anuria

C  Enuresis

D  Dysuria

A  Radiography

B  Cystoscopy

C  Computed tomography with contrast

D  Bladder ultrasonography

A  On a hot day, a person who is perspiring profusely and taking little fluid has low urine output with a high specific gravity.

B  When the kidneys are diseased, the ability to concentrate urine may be impaired and the specific gravity may vary widely.

C  A person who has a high fluid intake and who is not losing excessive water from perspiration, diarrhea, or vomiting has scant urine output with a high specific gravity.

D  On a hot day, a person who is perspiring profusely and taking little fluid has high urine output with a low specific gravity.

A  Enable the client to sit up and ambulate.

B  Assess the patient’s back and shoulder areas for signs of internal bleeding.

C  Provide analgesics to the client.

D  Distract the client’s attention from the pain.

A  Acute renal failure

B  Infection

C  Obstruction of the lower urinary tract

D  Nephrotic syndrome

A  Angiography

B  Computed tomography (CT scan)

C  Radiography

D  Cystoscopy

A  “I will need to drink all of the dye as quickly as possible.”

B  “I should remove all jewelry before the test.”

C  I should let the staff know if I feel claustrophobic.”

D  “I will feel a warm sensation as the dye is injected.”

A  prostate irritation.

B  client discomfort.

C  incorrect urine output values.

D  microorganism transfer.

A  The left kidney usually is slightly higher than the right one.

B  The kidneys are situated just above the adrenal glands.

C  The average kidney is approximately 5 cm (2 in.) long and 2 to 3 cm (0.8 to 1.2 in.) wide.

D  The kidneys lie between the 10th and 12th thoracic vertebrae.

A  At 8:00 am, with or without a specimen

B  After discarding the 8:00 am specimen

C  With the first specimen voided after 8:00 am

D  6 hours after the urine is discarded

A  Creatinine clearance level

B  Serum potassium level

C  Blood urea nitrogen level

D  Uric acid level

A  Urinary incontinence

B  Urinary stasis

C  Urinary frequency

D  Urinary urgency

A  Tenderness over the kidneys

B  A dull sound when percussing over the bladder

C  Bruits noted over the abdominal area

D  The ingestion of 8 oz of water

A  Allergic reaction

B  Dehydration

C  Bleeding

D  Infection